Application_945134CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #945134
Applicant
First Name Last Name Company Name
Karyn Rasmussen
Number Street Apartment or Suite Number E-mail Address
9624 219th Street SW karynras@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020-3948 2062952489
Contractor
Company Name
ADVANCED INSTALLATION INC
Number Street Apartment or Suite Number
16504 Highway 99 #101
City State Zip Phone Number Extension
Lynnwood WA 98037 (425) 745-5977
State License Number License Expiration Date UBI # E-mail Address
ADVAN11033DU 3/13/2022 FD174gDq� adv1@advancedinstallation.net
Project Location
Number Street Floor Number Suite or Room Number
9624 219TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00559700400400
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Karyn Rasmussen
Number Street Apartment or Suite Number
9624 219TH ST SW
City State Zip
EDMONDS WA 98020-3948
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 4/5/2021 Submitted By: Karyn Rasmussen
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #945134
Project Type
Single Family Residential
Project Details
Heaters
Fireplace Insert - Gas
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Living Room Existing Fireplace, already plumbed for
gas ... just installing gas insert. Advanced Installation, Inc
PO BOX 1229 Clinton, WA 98236 State Contractor's
License: advanii033du exp 03/13/2022
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